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General NPI Number Information
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NPI Number | 1144644337
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Entity Type | Organization
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Legal Business Name | ELDERCARE COUNSELING, LLC
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 134 CHESTNUT DR
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City | WAYNE
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State | NJ
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Zip | 07470-5602
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Country | US
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Telephone | 973-580-6708
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1731
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City | MORRISTOWN
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State | NJ
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Zip | 07962-1731
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Country | US
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Telephone | 973-580-6708
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MS. MIRIAM J. TOONKEL
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Credential | LCSW
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Telephone | 973-580-6708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44SC00450800
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License Number State | NJ
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